Chelsea critical care physical assessment tool (CPAx) for adult patients hospitalized in the ward: measurement properties.

Amanda Lucci, Giselle Valério, Julia de Toledo Rodrigues, Adriana Claudia Lunardi

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Article in Brazilian journal of physical therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Amanda LucciMaster and Doctoral in Physical Therapy Programs, Universidade Cidade de São Paulo, São Paulo, Brazil; Universidade de Taubaté, Taubaté, Brazil.

Giselle ValérioUniversidade Federal de São Paulo, São Paulo, Brazil.

Julia de Toledo RodriguesMaster and Doctoral in Physical Therapy Programs, Universidade Cidade de São Paulo, São Paulo, Brazil.

Adriana Claudia LunardiMaster and Doctoral in Physical Therapy Programs, Universidade Cidade de São Paulo, São Paulo, Brazil; Physical Therapy Division, Universidade de São Paulo, Ribeirão Preto, Brazil. Electronic address: adrianalunardi@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the measurement properties of the Brazilian version of the Chelsea Critical Care Physical Assessment Tool (CPAx-Br) and evaluate the evidence of validity in adult general ward patients, extending its application beyond the critical care setting for which it was originally developed.

methodsThis longitudinal study included 100 adults (57.5 ± 16.7 years; 54% female) consecutively admitted to hospital wards. The CPAx-Br was applied at three time points: within 48 h of admission, alongside the De Morton Mobility Index (DEMMI) and the Global Rating Scale of Change (GRC); 24 h later to assess reliability; and at hospital discharge, again with the DEMMI and GRC. As part of construct validity, hypothesis testing was performed using Spearman's correlation with the DEMMI. Reliability was tested using the Intraclass Correlation Coefficient (ICC

resultsThe CPAx-Br demonstrated adequate reliability (ICC

conclusionThe CPAx-Br demonstrated validity based on hypothesis testing, as well as good reliability and acceptable responsiveness for assessing physical function among adult ward patients.

Indexed as

InpatientsMeasurement propertiesMobility limitationPhysiotherapyResponsivenessValidation study

Identifiers

PMID42843014

DOI10.1016/j.bjpt.2026.101676

PMCPMC13676048

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